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粪便失禁管理的最新进展

Recent advances in managing fecal incontinence.

作者信息

Da Silva Giovanna, Sirany Anne

机构信息

Department of Colon and Rectal Surgery, Cleveland Clinic Florida, Weston, FL, 33331, USA.

出版信息

F1000Res. 2019 Jul 31;8. doi: 10.12688/f1000research.15270.2. eCollection 2019.

DOI:10.12688/f1000research.15270.2
PMID:31448087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6676508/
Abstract

Fecal incontinence (FI) is the uncontrolled passage of feces or gas in an individual who previously had control. The prevalence of the problem varies but can be as high as 50% of institutionalized individuals. The severity varies among individuals, but the negative impact on self-esteem and quality of life can have devastating effects. The goals of treatment are to decrease the frequency and severity of episodes as well as to improve quality of life. At present, several therapies, ranging from medical management to more invasive surgical interventions, are offered for the management of FI. In this article, we review the most recent advances in the management of FI.

摘要

大便失禁是指既往能够自主控制排便的个体出现粪便或气体的不自主排出。该问题的患病率有所不同,但在机构化照护的个体中可高达50%。个体之间严重程度各异,但对自尊和生活质量的负面影响可能具有毁灭性。治疗目标是减少发作的频率和严重程度,并改善生活质量。目前,针对大便失禁的管理提供了多种治疗方法,从药物治疗到更具侵入性的手术干预。在本文中,我们综述了大便失禁管理方面的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb2b/6713067/fc40d86681f1/f1000research-8-22266-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb2b/6713067/a0d5a7b169af/f1000research-8-22266-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb2b/6713067/191149e3c73c/f1000research-8-22266-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb2b/6713067/fc40d86681f1/f1000research-8-22266-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb2b/6713067/a0d5a7b169af/f1000research-8-22266-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb2b/6713067/191149e3c73c/f1000research-8-22266-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb2b/6713067/fc40d86681f1/f1000research-8-22266-g0002.jpg

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1
Recent advances in managing fecal incontinence.粪便失禁管理的最新进展
F1000Res. 2019 Jul 31;8. doi: 10.12688/f1000research.15270.2. eCollection 2019.
2
Sacral nerve stimulation for fecal incontinence related to external sphincter atrophy.经肛门直肠测压发现,患者存在肛门外括约肌萎缩,拟行骶神经刺激治疗大便失禁。
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Quality of life is markedly improved in patients with fecal incontinence after sacral nerve stimulation.骶神经刺激后,大便失禁患者的生活质量有显著改善。
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Dynamic Article: Percutaneous Nerve Evaluation Versus Staged Sacral Nerve Stimulation for Fecal Incontinence.动态文章:经皮神经评估与分期骶神经刺激治疗大便失禁的比较
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Sacral nerve stimulation for treatment of fecal incontinence: a novel approach for intractable fecal incontinence.骶神经刺激治疗大便失禁:一种治疗顽固性大便失禁的新方法。
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[Current concepts in the pathophysiology, diagnosis and treatment of fecal incontinence].[大便失禁的病理生理学、诊断和治疗的当前概念]
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Sacral nerve neuromodulation is effective treatment for fecal incontinence in the presence of a sphincter defect, pudendal neuropathy, or previous sphincter repair.骶神经神经调节是治疗伴有括约肌缺陷、阴部神经病变或先前括约肌修复的粪便失禁的有效方法。
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Magnetic anal sphincter augmentation in patients with severe fecal incontinence.严重大便失禁患者的磁性肛门括约肌增强术
Dis Colon Rectum. 2015 Jan;58(1):109-14. doi: 10.1097/DCR.0000000000000263.

引用本文的文献

1
Faecal incontinence-a comprehensive review.大便失禁——全面综述
Front Surg. 2024 Feb 1;11:1340720. doi: 10.3389/fsurg.2024.1340720. eCollection 2024.